HomeMy WebLinkAbout13506 COCO PLUM AC CHANGEOUT SYSTEM 1.pdfPERMIT TYPE:
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Name RON MARSILIA Name: DAVID SMITH
Address: 13506 NW COCO PLUM CT Company: ONE CALL AIR CONDITIONING
City: PALM CITY FL State: Address: 968 SW PROVINCETOWN LANE
Zip Code: 34990 Fax: City: PORT ST LUCIE State: FL
Phone No. 1 703'-624-*2313 Zip Code: 349532 Fax:
E-Maid: Phone No 772-201-3885
Fill in fee simple Title Holder on next page ( if different E-Mail ONECALLCOOLING@GMAIL.COM
from the Owner listed above) State or County License CAC1817403
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
.DESIGNER/ENGINEER:
Not Applicable MORTGAGE COMPANY: Not Applicable
Name.
Name:.
Address:,
Ad d ress.:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY-. Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: -- Phone;
OWNER CONTRACTOR AFFIDVIT: Application is:hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced -prior to the issuance of a'permit.
St.. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t with your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree -that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result,in haying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to Obtain financing, consult
wl-thjgnder or an.4ttpff ey before commencing work or recording our Notice of Commencement.
Zature of Owner Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
rO U NTY n F
Sworn to (or affirmedl and before
Physical
subscribed me of
this day of , 20 by
■ - -
Presence or Online Notarization
Name of person making statement.
1�1rA�lYr�e•®�OIp11i�i�ICn®Rslle-�III�Y®MI�I�A �1/®11I��1���11�
Personally Known OR Prod ced Identification
Type of. Identification Produced
(Signature of Notary Public- State of rida)
-
,`,0,�,YA `,�� -HEATHER BUI"1I'Ofl
Commission No. (Sea!)
�� State of Florida -Notary Public
N *= Commission# GG 183217
OF F4a i``1 Y Cammission Expires
February 06, 2022
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